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Home  /  Spinal Cord stim trials

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Spinal Cord stim trials

Overview
Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, ams and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.

Screening Test Implantation
The injection site is anesthetized. One or more insulated wire leads are inserted through an epidural needle or through a small incision into the space surrounding the spinal cord, called the epidural space.

Find the Right Location
Electrodes at the end of the lead produce electrical pulses that stimulate the nerves, blocking pain signals. The patient gives feedback to help the physician determine where to place the stimulators to best block the patient’s pain. The leads are connected to an external trial stimulator, which will be used for approximately one week to determine if SCS will help the patient.

Determine Effectiveness
If the patient and physician determine that the amount of pain relief is acceptable, the system may be permanently implanted. At the end of the trial implantation, the leads are removed.

Permanent Implantation
The permanent implantation may be performed while the patient is under sedation or general anesthesia. First, one or more permanent leads are inserted through an epidural needle or small incision into the predetermined location in the epidural space.

Generator Implantation
Next, a small incision is created, and the implantable pulse generator (IPG) battery is positioned beneath the skin. It is most often implanted in the buttocks or the abdomen. The leads are then connected to the IPG battery.

End of Procedure
The implant’s electrical pulses are programmed with an external wireless programmer. The patient can use the programmer to turn the system on or off, adjust the stimulation power level and switch between different programs.

After Spinal Cord Stimulator Implantation
After surgery, patients may experience mild discomfort and swelling at the incision sites for several days.

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Teresa Storie
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I have been a patient of Dr. Igor's for 2-3 years now. He is one of the best pain doctors I have been to since becoming sick 12 years ago. He listens to the issues I have and works out a pain management plan with me. He takes the time to explain what is going on and makes me understand. He also has a great sense of humor. I'm so happy to have finally found a great doctor.
Melanie Lynch
Melanie Lynch
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Dr. Igor has done a wonderful job of meeting my needs with pain management. He is very careful with me concerning medications. Although medicine is a necessary evil, he makes sure that my pain management is manageable without "overdoing" the drugs. He is very thorough and does a great job with back procedures. I'm so thankful to have him for my pain management doctor.
Nancy Ladd
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I have a lot of issues with pain in my hips and back. I have always been very fearful of going to doctors until I was sent to Dr. Igor Smelyansky. He has been so wonderful to me and always makes me feel like the only patient he has. Thank you.
Paul T. Ondako
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I have known Dr. Igor for 3 or 4 years and am so pleased with his work as a doctor. He is a super doctor. I would be very unhappy if I were told that Dr. Igor was not going to be my doctor. He is a very pleasant person to have as my doctor. I hope that he never stops being by doctor. Thank you Dr. Igor.
Sharon Prater
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I would like to say I’ve been seeing Dr. Igor for a year now. I really like his attitude he has towards me and tries the best he can to do what he can to help me with my pain management and I would highly recommend him to anyone that needs treatment for pain.
Michael J. Hornyak
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I have been a patient of Dr. Igor’s for the past three years. I’m 53 years old and have been a carpenter all my life. I have no cartilage in my left knee since 1979, I suffered breaks of L1, T 11, T 12 in 1987 from a fall (30 feet). Have broken right hand several times as a result of my work. Over the years I have seen many different doctors for these issues. Dr. Igor is the only doctor that ...
 Edith Compton
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I have been a patient of Dr. Igor for several years and I’m very happy with his care and concern for my well-being. I would not hesitate to recommend Dr. Igor.
Timothy A. Couch
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I have been treated for my lower back pain by Dr. Igor for three years at Roanne County and Crossville. The injections he has given me have greatly helped. Overall he has taken excellent care of me.
Garland Gibson
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I have been to Dr. Igor many times and he has helped me a lot. He takes time to ask questions + listens to your problems. He gave me injections and they helped a lot also.
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